Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,502.75 / $1,502.75 / $1,502.75	Professional		$1,502.75	$1,502.75	$1,502.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,314.05 / $2,314.05 / $2,314.05	Facility		$2,314.05	$2,314.05	$2,314.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,314.05 / $2,314.05 / $2,314.05	Professional		$2,314.05	$2,314.05	$2,314.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,314.05 / $2,314.05 / $2,314.05	Facility		$2,314.05	$2,314.05	$2,314.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,314.05 / $2,633.41 / $3,098.28	Professional		$2,314.05	$2,633.41	$3,098.28
United Facility/Professional Professional Modifier Low / Median / High Price $2,098.65 / $2,427.85 / $4,070.00	Professional		$2,098.65	$2,427.85	$4,070.00